SAURAV POKHAREL MD
NPI 1811135379
Internal Medicine - Pulmonary Disease in Sanford, NC

Q: What is Saurav Pokharel's NPI number?

The NPI number for Saurav Pokharel is 1811135379. It was assigned to this individual provider in the NPPES registry on January 21, 2009.

Q: What is Saurav Pokharel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Saurav Pokharel was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 21, 2009PECOS EnrolledAccepts Medicare Assignment

95.39/100

CMS Quality Rating

1139 CARTHAGE ST, SANFORD, NC 27330(919) 921-8980 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2025, Jun 27, 2024, Aug 23, 2023 and 2 more (5 updates tracked since 2017).

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About Saurav Pokharel Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAURAV POKHAREL MD (NPI 1811135379) is an individual pulmonary disease provider in Sanford, North Carolina, licensed in North Carolina (2018-01361) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, is affiliated with Central Carolina Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1811135379

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameSAURAV POKHARELCredential: MD

Location Address1139 CARTHAGE STSanford, NC 27330-4111

Mailing Address104 Greygate PlCary, NC 27518-9558 · (347) 462-6279

Phone(919) 921-8980

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateJanuary 21, 2009

Last NPPES UpdateFebruary 20, 20265 updates tracked since enumeration

NPPES CertifiedFebruary 20, 2026

✔ NPI 1811135379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in NC · 2018-01361✔ Licensed in ND · 13147

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 35.150267 (OH)

1139 CARTHAGE ST, Sanford, NC 27330

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Saurav Pokharel Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951520774

PECOS Enrollment IDI20190703000039

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

168 services76 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

57 services30 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

54 services54 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Central Carolina Hospital

Acute Care Hospitals · Sanford, NC

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340020

Location1135 Carthage StSanford, NC 27330 · Lee County

Emergency services Birthing friendly

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number340061

Location101 Manning DriveChapel Hill, NC 27514 · Orange County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27330 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.39/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.76

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

2 suppliers14 claims27 services$1.46 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

4 suppliers15 claims15 services$97.76 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

5 suppliers16 claims35 services$37.38 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

6 suppliers15 claims15 services$19.16 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

5 suppliers19 claims19 services$15.12 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

6 suppliers27 claims130 services$2.40 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

6 suppliers95 claims97 services$16.43 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

5 suppliers23 claims23 services$908.29 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

3 suppliers15 claims15 services$96.24 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers24 claims27 services$15.55 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

4 suppliers66 claims80 services$5.77 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

4 suppliers29 claims32 services$44.09 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

7 suppliers155 claims165 services$83.83 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

2 suppliers56 claims3,180 services$6.53 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

6 suppliers33 claims7,122 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

4 suppliers24 claims2,350 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

3 suppliers54 claims3,060 services$0.80 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

2 suppliers26 claims136,500 services$0.15 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

9 suppliers100 claims100 services$24.77 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GERALD WAYNE BLAKE M.D.

Internal Medicine

1139 CARTHAGE ST, SUITE 110
SANFORD, NC 27330

Lee County (919) 774-2195

ANNA RENEE KNOWLES PA

Physician Assistant (Medical)

1139 CARTHAGE ST, SUITE 101
SANFORD, NC 27330

Lee County (919) 774-1355

CENTRAL CAROLINA-IMA, LLC

Internal Medicine

1139 CARTHAGE ST, STE 110
SANFORD, NC 27330

Lee County (919) 774-2195

CENTRAL CAROLINA ORTHOPAEDIC

Specialist

1139 CARTHAGE ST, SUITE 101
SANFORD, NC 27330

Lee County (919) 774-1355

DLP CENTRAL CAROLINA PHYSICIAN PRACTICES LLC

Internal Medicine

1139 CARTHAGE ST, ST 110-A
SANFORD, NC 27330

Lee County (615) 920-7000

CENTRAL CAROLINA SURGICAL, PA

Surgery

1139 CARTHAGE ST, SUITE 110
SANFORD, NC 27330

Lee County (919) 775-7232

INTERNAL MEDICINE ASSOCIATES, PA

Internal Medicine

1139 CARTHAGE ST, SUITE 110
SANFORD, NC 27330

Lee County (919) 774-2195

DLP CENTRAL CAROLINA MEDICAL GROUP LLC

Surgery

1139 CARTHAGE ST, SUITE 110-B
SANFORD, NC 27330

Lee County (919) 775-3123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Saurav Pokharel's NPI number?

The NPI number for Saurav Pokharel is 1811135379. It was assigned to this individual provider in the NPPES registry on January 21, 2009.

Where is Saurav Pokharel located?

Saurav Pokharel practices at 1139 Carthage St, Sanford, NC 27330. The listed phone number is (919) 921-8980.

What is Saurav Pokharel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Saurav Pokharel enrolled in Medicare?

Yes. Saurav Pokharel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Saurav Pokharel accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Saurav Pokharel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Saurav Pokharel affiliated with any hospitals?

According to CMS data, Saurav Pokharel is affiliated with Central Carolina Hospital and Unc Hospitals.

When was this NPI record last updated?

The NPPES record for Saurav Pokharel was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.